Kristti Lei Birondo Tan
AGNP-BC | Nurse Practitioner - Adult Health | 6+ years Exp
4645 Timber Ridge Dr Ste 100, Douglasville
Georgia, 30135-7542
678-702-3376
Kristti Lei Birondo Tan is a Douglasville, Georgia based nurse practitioner with 6 years of experience as Adult Health NP. She completed her graduation in 2020. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kristti Lei Birondo Tan is 32408 for Gerontology NP in Tennessee. Her current practice location is 4645 Timber Ridge Dr Ste 100, Douglasville. Patients can reach her at 678-702-3376. Kristti Lei Birondo Tan is AGNP-BC with specialization in Adult Health NP and her NPI number (Unique professional ID assigned by NPPES) is 1679175236.
Kristti Lei Birondo Tan can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. She can see patients and promote healthy living and wellness. She can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Kristti Lei Birondo Tan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kristti Lei Birondo Tan |
| Specialization: | Nurse Practitioner - Adult Health (ANP) |
| Gender: | Female |
| Credentials: | AGNP-BC |
| Experience: | 6+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2020 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 4645 Timber Ridge Dr Ste 100, Douglasville,
Georgia, 30135-7542 |
| Phone: | 678-702-3376 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4486992971 |
| Enrollment ID: | I20210120002931 |
| NPI Number: | 1679175236 |
| NPI Enumeration Date: | 09 Nov, 2020 |
| NPI Last Update On: | 16 Apr, 2026 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kristti Lei Birondo Tan are as mentioned below.
| License Number | Specialization | State | Status | |
| 32408 | Gerontology NP | Tennessee | Primary | |
| 1014530 | Adult Health NP | Texas | Secondary | |
| 309683 | Adult Health NP | New York | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kristti Lei Birondo Tan is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Oak Street Health Of Texas Pllc (2163843038) | 46 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kristti Lei Birondo Tan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| Q079530 | Medicaid | Tennessee | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kristti Lei Birondo Tan
3320 Perimeter Hill Dr,
Nashville, Tennessee |
| Zip: | 37211-4123 |
| Phone Number: | 615-866-9040 |
| Fax Number: | 615-750-5756 |
Patients can reach Kristti Lei Birondo Tan at
4645 Timber Ridge Dr Ste 100, Douglasville, Georgia or can
call to book an appointment on 678-702-3376.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.